HB278 Summary

• Permits pharmacists to dispense Ivermectin without an individual prescription if authorized by a State Board of Pharmacy-approved standing order signed by a physician, physician assistant, or certified registered nurse practitioner.

• Standing orders must include a risk assessment protocol to screen patients, a standardized information sheet with indications/contraindications/instructions, and a form to record the risk assessment completion and dosage dispensed.

• Allows dispensing to individuals 19 years of age or older, or to unemancipated minors under 19 with written parental or legal guardian consent.

• Prohibits health care providers and pharmacists from participating in programs or accepting compensation that would induce them to encourage or endorse Ivermectin use to patients or the public.

• Prevents licensing boards from disciplining health care providers or pharmacists for signing or following standing orders to dispense Ivermectin, including good faith interpretation errors or refusals to dispense; does not affect medical liability standards or civil actions.

• Takes effect October 1, 2025.